ArticleAcute medicine & surgery2018
Characteristics distinguishing abusive head trauma from accidental head trauma in infants with traumatic intracranial hemorrhage in Japan.
Article in Acute medicine & surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Medical findings in young patients with head trauma: How strong is the evidence for abuse?International journal of legal medicine · 2026Article
- Traumatic brain injury in children and adolescents: a retrospective analysis of age- and mechanism-specific injury patterns.International journal of legal medicine · 2026Article
- An analysis of physicians' diagnostic reasoning regarding pediatric abusive head trauma.Child abuse & neglect · 2022Article
- Fractures and skin lesions in pediatric abusive head trauma: a forensic multi-center study.International journal of legal medicine · 2022Article
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- A Cluster Randomized Trial to Reduce Missed Abusive Head Trauma in Pediatric Intensive Care Settings.The Journal of pediatrics · 2021Article
- Patterns of Osteopontin Expression in Abusive Head Trauma Compared with Other Causes of Pediatric Traumatic Brain Injury.The Journal of pediatrics · 2020Article
- Cerebrovascular Complications of Pediatric Blunt Trauma.Pediatric neurology · 2020Review
- Epidemiology, Patterns of treatment, and Mortality of Pediatric Trauma Patients in Japan.Scientific reports · 2019Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo identify markers for detecting abusive head trauma (AHT) and its characteristics in the Japanese population.
methodsWe retrospectively reviewed the clinical records of 166 infants with traumatic intracranial hemorrhage between 2002 and 2013 in three tertiary institutions in Japan. The infants were classified into AHT (57), suspected AHT (24), and accidental (85) group based on the defined criteria. We compared clinical presentations and computed tomography findings among these three groups and also compared age distribution of infants with AHT in our study to those in the USA.
resultsAge distribution of AHT cases is significantly higher in our study than in the USA (
conclusionsThe age range of AHT in Japan is significantly different from that of countries in Europe and North America because of familial and sociocultural situations. Absence of bruising, and rib or long bone fractures did not reduce the likelihood of AHT. Subdural hematoma without findings of an impact to the head strongly suggested AHT. Abusive head trauma is a global problem, however, diagnosis and defensive measures likely need to be tailored to accommodate cultural risk factors.
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